PMID- 37330336 OWN - NLM STAT- MEDLINE DCOM- 20230908 LR - 20230908 IS - 1472-6491 (Electronic) IS - 1472-6483 (Linking) VI - 47 IP - 3 DP - 2023 Sep TI - Opposing impacts of HLA-G haplotypes PROMO-G010104-UTR-3 and PROMO-G010101b/c-UTR-4 on risk of recurrent implantation failure. PG - 103225 LID - S1472-6483(23)00272-9 [pii] LID - 10.1016/j.rbmo.2023.04.016 [doi] AB - RESEARCH QUESTION: The human leukocyte antigen (HLA) class Ib molecules HLA-F and HLA-G are implicated in pregnancy success, but how do HLA-G and HLA-F genetic polymorphisms impact recurrent implantation failure (RIF)? DESIGN: Prospective cohort study at a fertility clinic including a cohort of 84 women experiencing RIF and 35 IVF controls to assess the influence of HLA-G haplotypes and diplotypes and HLA-F single nucleotide polymorphisms (SNP) on RIF. RESULTS: Over-representation trends for HLA-F SNP genotypes rs1362126, rs2523405 and rs2523393, previously linked with a short time-to-pregnancy, were detected in female control groups compared with RIF patients with no identified pathology linked to infertility. The HLA-G promoter haplotype PROMO-G010101b/c linked with the HLA-G 3'-untranslated region (3'UTR) haplotype UTR-4, which previously has been associated with positive IVF outcome and pregnancy success, was less frequent in the RIF group. For RIF patients carrying the UTR-4 haplotype, the odds ratio (OR) was 0.27 (95% CI 0.12-0.66; P = 0.0044, P(c) = 0.026). The HLA-G PROMO-G010104-UTR-3 haplotype was associated with an increased risk of RIF. For RIF patients carrying the UTR-3 haplotype, the OR was 5.86 (95% CI 1.52-26.23; P = 0.0115, P(c) = 0.069). CONCLUSIONS: These results show that specific HLA-G haplotypes based on the promoter region and the 3'UTR are either associated with an increased risk of reduced fertility, including the manifestation of RIF, and lower chance of achieving pregnancy, or with a reduced risk of experiencing RIF. CI - Copyright (c) 2023 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved. FAU - Papuchova, Henrieta AU - Papuchova H AD - Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Zealand University Hospital, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark; The ReproHealth Research Consortium, Zealand University Hospital, Denmark. FAU - Saxtorph, Malene Hviid AU - Saxtorph MH AD - Department of Clinical Medicine, University of Copenhagen, Denmark; The ReproHealth Research Consortium, Zealand University Hospital, Denmark; Department of Gynecology, Obstetrics and Fertility, Zealand University Hospital, Denmark. FAU - Hallager, Trine AU - Hallager T AD - The ReproHealth Research Consortium, Zealand University Hospital, Denmark; Department of Pathology, Zealand University Hospital, Denmark. FAU - Jepsen, Ida E AU - Jepsen IE AD - Department of Clinical Medicine, University of Copenhagen, Denmark; The ReproHealth Research Consortium, Zealand University Hospital, Denmark; Department of Gynecology, Obstetrics and Fertility, Zealand University Hospital, Denmark. FAU - Eriksen, Jens O AU - Eriksen JO AD - The ReproHealth Research Consortium, Zealand University Hospital, Denmark; Department of Pathology, Zealand University Hospital, Denmark. FAU - Persson, Gry AU - Persson G AD - Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Zealand University Hospital, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark; The ReproHealth Research Consortium, Zealand University Hospital, Denmark. FAU - Funck, Tina AU - Funck T AD - Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Zealand University Hospital, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark; The ReproHealth Research Consortium, Zealand University Hospital, Denmark. FAU - Weisdorf, Iben AU - Weisdorf I AD - Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Zealand University Hospital, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark; The ReproHealth Research Consortium, Zealand University Hospital, Denmark. FAU - Macklon, Nicholas AU - Macklon N AD - Department of Clinical Medicine, University of Copenhagen, Denmark; The ReproHealth Research Consortium, Zealand University Hospital, Denmark; Department of Gynecology, Obstetrics and Fertility, Zealand University Hospital, Denmark; London Women's Clinic, London, UK. FAU - Larsen, Lise Grupe AU - Larsen LG AD - The ReproHealth Research Consortium, Zealand University Hospital, Denmark; Department of Pathology, Zealand University Hospital, Denmark. FAU - Hviid, Thomas Vauvert F AU - Hviid TVF AD - Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Zealand University Hospital, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark; The ReproHealth Research Consortium, Zealand University Hospital, Denmark. Electronic address: tvh@regionsjaelland.dk. LA - eng PT - Journal Article DEP - 20230503 PL - Netherlands TA - Reprod Biomed Online JT - Reproductive biomedicine online JID - 101122473 RN - 0 (HLA-G Antigens) RN - 0 (3' Untranslated Regions) SB - IM MH - Pregnancy MH - Female MH - Humans MH - Haplotypes MH - *HLA-G Antigens/genetics MH - Gene Frequency MH - 3' Untranslated Regions MH - Prospective Studies MH - *Polymorphism, Single Nucleotide OTO - NOTNLM OT - HLA-F OT - HLA-G OT - Haplotypes OT - Pregnancy OT - Recurrent implantation failure EDAT- 2023/06/18 01:07 MHDA- 2023/09/08 06:43 CRDT- 2023/06/17 21:54 PHST- 2023/03/05 00:00 [received] PHST- 2023/04/24 00:00 [revised] PHST- 2023/04/26 00:00 [accepted] PHST- 2023/09/08 06:43 [medline] PHST- 2023/06/18 01:07 [pubmed] PHST- 2023/06/17 21:54 [entrez] AID - S1472-6483(23)00272-9 [pii] AID - 10.1016/j.rbmo.2023.04.016 [doi] PST - ppublish SO - Reprod Biomed Online. 2023 Sep;47(3):103225. doi: 10.1016/j.rbmo.2023.04.016. Epub 2023 May 3.